Category III Codes: Adaptive Behavior Treatment (Q&A) (March 2018)

March 2018 page 12 Category III Codes: Adaptive Behavior Treatment Question: A technician saw a patient for direct face-to-face adaptive behavior treatment by protocol from 8:00 AM to 12:00 PM (4 hours). On the same day, for the same patient, a qualified health care professional (QHP) performed oversight and protocol modification from 9:00 AM to 10:00 AM (1 hour). The QHP reported the following codes: seven units of 0365T and one unit each of 0364T, 0368T, 0369T. Please clarify if it is appropriate to report the face-to-face technician time with codes 0364T and 0365T and the QHP supervision time...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a coding question involving adaptive behavior treatment services under CPT Category III codes and how overlapping time between a technician and a qualified health care professional is discussed in the Q&A format. It is relevant for coders, billing staff, and clinical practices working with behavioral health or developmental services who need to understand the scope of the article’s guidance before reviewing the full premium text.

Why This Topic Matters

Articles like this help readers quickly determine whether the premium content addresses time-based reporting questions, overlapping service periods, and the use of CPT Category III guidance for adaptive behavior treatment.

Article Sections

  1. Category III Codes: Adaptive Behavior Treatment

    A question-and-answer discussion focused on adaptive behavior treatment reporting under CPT Category III. The section addresses time-based service reporting and the interaction between technician and qualified health care professional involvement.

What You Will Learn

  • The article’s focus on adaptive behavior treatment reporting under CPT Category III.
  • How the Q&A format frames a same-day timing question involving two types of service providers.
  • That the discussion centers on overlap, time intervals, and reporting scope for this service category.
  • intended_audiences":["Medical coders","Billing staff","Practice managers","Behavioral health providers","Compliance staff"],
  • topics":["Adaptive behavior treatment","Time-based reporting","Overlapping service time","Same-day service reporting","CPT Assistant Q&A"],
  • medical_specialties":["Behavioral health","Developmental pediatrics","Allied health"],
  • code_sets":["CPT"],
  • codes":[{"code_set":"CPT","code":"0365T"},{"code_set":"CPT","code":"0364T"},{"code_set":"CPT","code":"0368T"},{"code_set":"CPT","code":"0369T"}],

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Behavioral health providers
  • Compliance staff

Codes Discussed


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